Kevin Lafayette Samuel Jr.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9445596 Issued in FL

Practice address

1500 SW 1St Ave
Ocala, FL 34471-6504

Phone

(352) 693-0930

NPI assigned

Jun 21, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1922842301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616628",
            "telephone_number": "352-693-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716504",
            "telephone_number": "352-693-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "KEVIN",
        "middle_name": "LAFAYETTE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9445596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Victoria Samitier, APRN
• Naomi Sarah Sammy
• Sams East Inc (Sams Pharmacy 10-6335)
• Kimberly Anne Samson, APRN
• Blessy Job Samuel, APRN
• Samuel's Transportation, Inc.
• Samuelson Personal Care LLC (DBA Home Instead Senior Care)
• Chander N. Samy, M.D.
• Derek Kyle Sanak, DO
• Anthony Sancetta, DO

• Registered Nurse in Ocala, FL
• Providers in Ocala, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.